State Death Match - Manual - Non-EDR Records from EDR sites

Statement of Death by Funeral Director and State Death Match

OMB: 0960-0142

IC ID: 256492

Documents and Forms
Document Name
Document Type
Other-ile Format for State's Use
Other-ile Format for State's Use
Information Collection (IC) Details

View Information Collection (IC)

State Death Match - Manual - Non-EDR Records from EDR sites
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-ile Format for State's Use Instructions and File Format for States' Use.docx No   Paper Only

Income Security General Retirement and Disability

 

39 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 -2,676,219 0 0 2,676,219
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 -2,355,073 0 0 2,355,073

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy